Thomas J. Tesi, D.C., P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X004644 Issued in NY

Legal business name

THOMAS J. TESI, D.C., P.C.

Practice address

4120 Broadway
New York, NY 10033-3703

Phone

(212) 568-7403

Fax

(845) 639-0625

NPI assigned

Oct 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas J. Tesi, M.S., D.C., P.C.

Title

Chiropractor/President

Phone

(845) 642-1009

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1710139365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MOUNTAIN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565706",
            "telephone_number": "845-642-1009",
            "fax_number": "845-639-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333703",
            "telephone_number": "212-568-7403",
            "fax_number": "845-639-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. TESI, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "TESI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "845-642-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., D.C., P.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X004644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.